Title Page

  • Inspection Performed By

  • Location
  • Date

  • Gas Company

  • Foreman/ Crew Leader

  • 2nd in Command

  • Operator

  • Truck Driver

  • Laborer(s)

  • Others (Saw Cutters, Vac Truck, Tigercat, etc.)

  • ThinkSAFE Observer/ Safety Observer (Listed on job brief)

  • Competent Person (Listed on job brief)

  • Fuser Observed

  • Gas Company Inspector

  • Truck Number

  • Job Description

  • Personal Protective Equipment (PPE)

  • Jobsite Setup

  • Job Brief

  • DigSafe/Damage Prevention

  • Fire Extinguisher(s)

  • Chock Blocks

  • Excavation

  • CGI

  • Expiration Date

  • Electrofusion Box

  • Expiration Date

  • Pyrometer

  • Expiration Date

  • Ladder

  • Plate Hooks/Chains

  • Slings/Straps

  • Safety Clips/Lanyards

  • Warning Alarms

  • Locator/CAT

  • Volt Stick

  • Respirator Equipment

  • Grounding Kit

  • Spill Kit

  • Licenses

  • DOT/Samsara

  • Foreman iPad

  • Reviewed Updated Customer Standards/Policies, Neuco/Centuri Updates

  • Swing Zone/Red Zone

  • Pipe

  • Pipe Installation/Condition

  • Equipment Condition

  • Pipe Joining

  • Fusion Equipment

  • Pipeline Pressure

  • Backfill/Compaction - Proper lifts, using DCP

  • Post Inspection Performed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.